Core Supportive Care Needs of Ostomy Patients at Different Postoperative Times: A Network Analysis

Abstract

Aims and Objectives

To identify the core supportive care needs of ostomy patients across the postoperative period using network analysis to inform targeted interventions.

Design

This cross-sectional study was conducted according to the STROBE guidelines.

Methods

This study included 588 ostomy patients from three tertiary Grade-A hospitals in China between December 2023 and March 2024. Supportive care needs were assessed using an adapted version of the short form of the Supportive Care Needs Survey. Data were analysed using descriptive statistics, one-way ANOVA and network analysis to explore the interconnections and centrality of symptoms across four postoperative periods (< 1, 1–3, 4–6 and > 6 months).

Results

Supportive care needs varied significantly across the postoperative period in patients undergoing ostomy. The Stoma Support domain consistently achieved the highest scores across all the stages. Central symptoms differed by period, featuring ‘feeling down or depressed’ (< 1 month), ‘acquiring knowledge of stoma complication management’ (1–3 months), ‘gaining knowledge of stoma bag prices and extended use’ (4–6 months) and ‘keeping a positive outlook’ (> 6 months).

Conclusion

Supportive care needs vary significantly across postoperative periods, with a network analysis identifying stage-specific core symptoms. These findings provide the foundation for targeted interventions.

Relevance to Clinical Practice

Tailored, stage-specific care strategies are crucial for addressing the dynamic needs of ostomy patients. Early psychological support, mid-recovery practical guidance and long-term resilience-building interventions can improve patient outcomes.

Patient or Public Contribution

None.